Commonwealth Care Alliance · 2 days ago
Delegation Partnerships Performance Manager
Boston, MA
Full-time
Hybrid
Mid, Senior Level
$100K/yr - $149K/yr
5+ years expCommonwealth Care Alliance is seeking a Delegation Partnerships Performance Manager to oversee and improve the performance of their delegated partnerships programs. This role involves managing performance evaluation efforts, collaborating with clinical partners, and ensuring compliance with quality standards to optimize member outcomes.
Health CareHospitalMedical
Responsibilities
Assume full management responsibility for all performance measure components, including end-to-end data collection, evaluation, and timely dissemination of reports to both internal teams and delegated providers
Track and analyze site-level and program-wide KPIs to isolate gaps and identify key drivers of high and low performance
Generate monthly and quarterly performance and administrative reports, ensuring consistency, accuracy, and timely distribution to delegated providers. This includes reporting related to contracts, regulatory, NCQA and other requirements
Develop a deep understanding of all program measures and metrics to support delegated providers in interpreting performance data and meeting expectations
Collaborate with providers individually to create and monitor performance improvement plans, engaging internal subject matter experts as needed and ensuring accountability for baseline performance standards
Coordinate cross-departmental efforts to raise awareness of knowledge gaps and clarify expectations around performance metrics
Maintain ownership of all guidance materials related to performance measures, ensuring they are accurate and up to date
Manage the development of formal Performance Improvement Plans and prepare presentation materials such as mid-year and annual reviews and program-wide performance summaries
Support delegated provider staff in using data tools effectively and understanding data interpretation
Oversee administrative components related to performance management activities as needed
Lead the program’s contributions to performance measurement logic, reporting rules, exhibits, and reconciliation efforts in partnership with Business Intelligence, Finance, and Network teams
Understand CCA’s operational and contractual requirements for delegated providers and implement performance monitoring and workflow adherence plans accordingly
Partner with Business Intelligence/Analytics teams to develop and present clinical, operational, and financial reports, proactively identifying opportunities for improvement
Coordinate technical assistance initiatives, including convening multidisciplinary teams and leveraging specialized CCA resources to support provider performance improvement strategies
Support broader organizational efforts to drive performance on HEDIS and STAR measures
Schedule and facilitate regular meetings, virtual or in person, with CBOs focused on provider education, program operations, regulatory requirements, performance and care team collaboration
Support cross-functional delegation governance Steering Committee
Manage schedule and agenda for ongoing meetings
Disseminate meeting notes
Manage all action items
Coordinate with staff managing Member communications to ensure alignment between provider and member communications
Develop routine internal reports of provider communications activities to keep both leadership and provider facing staff apprised of messaging and timelines
Present reporting and trends to the committee
Develop and manage annual provider communications schedule
Assist with preparation and response activities related to formal CMS and state audits
Oversee special projects focused on program development, growth strategy, and new process design and implementation
Manage operational components of new program implementations, including project planning, stakeholder coordination, and deadline management
Collaborate across multiple internal teams and delegated providers to coordinate events, manage projects, and resolve daily operational issues
Support program leadership in developing and maintaining CCA Policies and procedures and trainings as they relate to delegation programs
Manages information, education and training to CCA staff, clinicians employed by CCA’s clinical groups, contracted delegated entities and LTSS providers on delegation model
Maintain reporting inventory of all reporting shared with Delegation Providers as well as received internally to support the programs
Disseminate information to Delegation Partners
Support Manager in developing guidelines, reference guides, workflows and SOPs, disseminating them to delegation entities and answering questions to ensure efficient day-to-day operations
Draft email communications under supervision of Manager
Support maintenance of materials and design of CCA Extranet/SharePoint as a key resource for information
Ongoing communication with Delegated Provider staff and CCA internal departments through email and phone calls
Qualification
Required
Bachelor's degree
5+ years
Experience with Medicaid and Medicare products and programs
Value-based program oversight and performance tracking
Experience working within FQHCs, Health and Human services providers or equivalent
Proven experience in program management and performance monitoring initiatives or relevant position
Working knowledge of project/program management practices
Ability to deal with a diverse and multi-disciplinary team
Excellent problem-solving and organizing skills
Strong written and oral communication skills and comfort presenting to large audiences
Ability to create and use project management materials, such as project plan, timelines, etc. and work across stakeholders to drive towards a given deadline
Skilled with data analytics and comfort with common analytics tools such as excel
Ability to have a professional presence across internal and external stakeholders and across various levels and functions
Outstanding verbal and written communication skills
Professional presence and comfort in communicating with and presenting to senior level staff, including creation of external facing presentation materials
Good knowledge of MS Office
Must have ability to learn new systems and databases that CCA implements
Working knowledge of Medicare and Medicaid (MassHealth)
Demonstrated skills in Excel and PowerPoint
Polished, professional presentation skills in working with key provider partners and internal leaders
Exceptional written and verbal communication skills, with the ability to translate complex information for diverse provider and internal audiences
Ability to build and maintain positive relationships and collaborate effectively with internal and external stakeholders
Proactive in identifying issues and developing effective solutions
Adaptable and able to thrive in high-pressure environments, adjust to shifting priorities, and manage multiple deadlines
Results-oriented and self-motivated, with the ability to work independently and as part of a team to meet departmental goals
Demonstrates empathy, self-awareness, and the ability to navigate sensitive conversations diplomatically
Must be able to work collaboratively and create an atmosphere of trust and respect within project teams and with external partners
Must be highly organized and self-directed with a proven ability to work with supervision on departmental and cross-functional projects of a diverse nature
Requires excellent interpersonal skills in order to communicate and work with staff and external partners of all skill and experience levels
Strong tactical performer
Demonstrated ability to establish and manage performance and outcome metrics
Ability to establish and maintain positive and effective work relationships with internal staff, external vendors, and state and federal agencies
Proven skills, knowledge base and judgment necessary for independent decision-making
Excellent organizational, time-management and problem-solving skills
Must be able to exercise a high level of diplomacy to recognize politically sensitive issues
Ability to multi-task and switch gears quickly / effectively
English
Preferred
Master's degree in public health, business administration, health management, social work, or a related field preferred
Experience with dual-eligible (DSNP) populations preferred
Understanding of behavioral health landscape in Massachusetts
Familiarity with care management and utilization management systems and workflows
Experience managing delegated provider contracts and oversight programs
Project management skills with the demonstrated ability to handle multiple projects
Strong understanding of Medicare, Medicaid, duals program, and health plan operations, including regulatory and compliance requirements
Demonstrated knowledge of DMH system and waiver programs helpful
Demonstrated ability to describe and assess a simple business problem
Demonstrated ability to define a solution to a simple business problem and develop a plan for resolution
Benefits
You may qualify for a bonus tied to company and individual performance.
Substantial and comprehensive total rewards package.
Company
Commonwealth Care Alliance
Commonwealth Care Alliance is an integrated care system that advocates for economical healthcare policies.
1001-5000 employees
H1B Sponsorship
Commonwealth Care Alliance has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (11)
2024 (16)
2023 (11)
2022 (18)
2021 (21)
2020 (15)
Funding
Current Stage
Late StageTotal Funding
$1.77MKey Investors
The Robert Wood Johnson Foundation
2025-04-09Acquired
2019-11-11Grant· $1.77M
Leadership Team
Amanda Cassel Kraft
Chief Operating Officer
Don Stiffler
Chief Revenue and Growth Officer
Recent News
2025-12-29
Press Telegram
2025-12-03
Company data provided by crunchbase